Page 31 - P4304.1-V95_PS-Magazine-March 2024 PRINT

A. Only one prescription charge is payable where
one or more of the same lymphoedema base
garment is supplied. For example, if a prescription
orders multiple sizes (i.e. S, M, L, XL or I, II, III, IV, V),
lengths (i.e. standard, petite, short or long – not
below knee or thigh length) or colours of the same
base garment it would only attract one prescription
charge and one single activity fee regardless of
quantity ordered.
Q. How are prescription charges and fees Multiple prescription charges and fees would only
apply where completely different base garments
calculated for lymphoedema garments? (i.e. open toe and closed toe or thigh length and
below knee) or the same lymphoedema garment of
differing compression sizes (i.e. Class II and Class
III) are ordered.
Some lymphoedema base garments can be
ordered with ‘additional options’ or optional extras.
Additional options are classed as no charge items
and therefore do not incur additional prescription
charges nor do they attract additional prescription
fees; however pharmacies are reimbursed for the
cost of the optional extra.)

A. Multiple charges apply where more than one
Q. I have received an FP10 Prescription piece of elastic compression hosiery (anklet, legging,
kneecap, below knee, above knee or thigh length
for two pairs of ‘compression hosiery stockings) are ordered. Prescription charges for
class II thigh length stocking circular elastic compression hosiery are calculated per
knit standard stock size’; how many piece of elastic hosiery. Two pairs of compression
prescription charges should the patient hosiery = four pieces and this would attract four
pay and how many fees can I claim? charges from patients who usually pay for their
prescriptions. Note different rules for charges apply
to lymphoedema garments. Professional fees for
elastic compression hosiery are calculated per
prescription item – two pairs of compression hosiery
= 1 prescription item. As this prescription is for 1 item
you would receive one single dispensing fee.

Finally a question regarding
branded generic prescribing.

A. Levothyroxine sodium 100mcg tablets are listed
Q. I have received a prescription requesting
in Part VIII of the Drug Tariff. When a prescription
“Levothyroxine Sodium 100mcg tablets
requesting generic “levothyroxine 100 mg tablets”
(Actavis UK)”. Do I have to dispense the Actavis
is received the pharmacist can dispense any brand
and will be reimbursed according to the Drug Tariff
brand and what will I be reimbursed for?
price for the product.

However, where a prescription for a generic product specifies the name of a manufacturer
or supplier, legally and ethically that manufacturer’s product must be dispensed, and the
dispensary would be reimbursed based on the manufacturer or suppliers list price rather
than Drug Tariff price.
If you are noticing brands in the prescribed item line on your prescriptions then you need
to take note here. Are GPs inadvertently issuing prescriptions in this way because of the
way products are listed in the picking-list of their prescribing system? This could be the
case and if the brand is not required it could lead to you making dispensing errors if you
do not supply the specific brand and it will probably lead to increased prescribing costs.

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